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SP;::~:".JE~. . ~Z~ . . sfJ,%\i;>ORfGOH CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00740 IVR Number: 811123979466 www.cLspringfield.or.us 225 Fifth SI , Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfieJd.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 0510312011 0510312011 Issued 0510312011 EXPIRES: VALUE: 10/3012011 $5,675,00 SITE ADDRESS: 4095 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703344309100 SCOPE: Dryro.t WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Repair water-damaged insulation and sheetrock. elect separate Phone Number: OWNER: ADDRESS: HOWARD & BETTY SMITH TRUST 999 LAURELHURST DR EUGENE OR 97402 CONTRACTOR INFORMATION I Contractor Type Contractor Name TRADEW)NDS CONSTRUCTION GROUP LlC Lie Type CCB Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Ediii,,'HICE: Structural Specialty Code Editij;1i:!S PERMlo/19HALL EXPIRE IF THE WORK I Site Information MU IllvrrLtU UNUtti I HI~ I-'ttilVll1 I~ I~U I :::::.::.:::,~CED OR IS ABANDONED FOR ANY 180 DAY PERIOD, BUILDING INFORMATION # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Type Construction Type A-2 Type VB # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 5/3/2011 3:06:40PM Lie No 193155 Lie Exp 0211712013 Phone 541-510-4642 ~\TTENTlON' 0 . follow rl~ot'Si~e: repon law requires you t NIT' - -~8p,ed by th 0 , 0 Ilcatlsij F.L1stEloor: ,e Oregon Utility In OAR 9f'?_n~ _ ~.:' :' ,ose rules are 0090 v Sq Ft 2nd,FIOO.(:,rough OA settorth , IOU mel' nhto;~ ' R 952-001_ calling .,Sq Ft Basement:JpleS 01 the r I ' He! center, iN U es by nUmber ,~q Fit Garage: ate: the telephone ,," U/"Oon Ut'" CS,ql~t'''arport:O Ilty Natiticati'on ., '" i-au -332"~ Sq Ft Other: --0-'44), Occupancy Load: Page 1 of 3 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00740 IVR Number: 811123979466 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 05/03/2011 05/03/2011 05/03/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 10/30/2011 $5,675.00 SITE ADDRESS: 4095 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703344309100 SCOPE: Dryrot WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Repair water-damaged insulation and sheetrock - elect separate DEVELOPMENTlNFORMA TION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Fr,ontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: . REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuation Description Description Bid Tvee of Construction NA Unit Amount Unit Tvee 5,675.00 Bid Unit Cost 1.00 Value 5,675.00 5,675.00 FEES PAID I Descriotion State of Oregon Surcharge (12% of applicable fees) Building Permit Fee _ Technology fee (5% of permit total) Total Amount Paid Amount Paid $11.64 $97.00 $4.85 $113.49 Date Paid 05/03/2011 05/0312011 05/03/2011 Springfield Building Permit 51312011 .3:06:40PM Reciot # 2011000864 2011000864 .".--. 2011000864 Page 2 of 3 ) SPRIN.G..FI.EL~ ~""', \!ti, . "~'OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00740 IVR Number: 811123979466 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued pe~itcenter@ci,sprjngfield.or.us PROJECT STATUS: STATUS DATE: 05/03/2011 ISSUED: APPLIED: 05/03/2011 05/03/2011 EXPIRES: VALUE: 10/30/2011 $5,675.00 SITE ADDRESS: 4095 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703344309100 SCOPE: Dryrot WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial Planning Review 05/03/2011 05/03/2011 05/03/2011 Comments: Over the counter permit Rerri1iflssuance~7Y,; '+); ''":'' ~..-: L<'05/0312D;l1j'.~D5j03i:W1tf";':\~05/b3/20f1'" i<.;lssued ,;; ~-) -;,: . ~f'b-_m:-Chrrs,~Car-pentEir' . ,,~,,~. ~';'" .~" ,j :~~.~~me~(~:_ ,;~~~i;,~~~' ~Iu~~,~jf~~~~~!fr;t,',~,,~-~-nin~~~;,~~:2i$\:~~~:jf;~:.:~~~::~"~::~~14!r t;:~-,~~~~~(;~~i'-~6~t "\~;~ .:' Public Works Review 05/03/2011 05/03/2011 05/03/2011 - Not Required Chris Carpente'r Comments: Over the counter permit !~~erg~:'9P~ej~ev~"w:w f~:_4 ,,~ ,~95!03/~PJ1i~~~5!0~/?01~:p~P$!.Q_~I~.q,~~~ -~..1~, .~~f~e,B~Jf.e~_;f~; ,~~~,;:~ t, 'Co'rrlm":'n"is;"'" :Ov~r,th~counterjpermjt'0;~'~.:"'t ~('_-~ _<'ff-":1t~," ',_' "'"e~t#'~: ~,.:.~~!'~;',:',>l.'~L'~"-;~',-, ,. "'V.","<." _ __~.::;_ . -.',' ~."""""~,,""''':i.,_J--',,_,,"___,, ,t",d~' '.", ,',~.,l!'~""j'~x.;;!., Structural Review 05/03/2011 05/03/2011 05/03/2011 Nol Required Comments: Over the counter permit LFi~eB~eYl~:~:?..' <~ ~ ,r- 1:':5'~< ':i~i<~:'~:?~~o,1~2~~,:1tfr~~~4Q~!~.o1~S~5~~OJ,~,:":;,;~ ~,~t'~~q~!~;d,;t;~. "rJf::Z::9'~rj? ;~~aIP~n~~B:":,~-":',~~,;:,~,.,:':::~:.'~'---l L:;Hl~~~~~~. ~ert~~~nter;p~fmJ!C:;,~0.'?,;d$ic~: ;"..:c<.d'0l, tv', .",/'.~"j:~"'~n'_'.;~:, " "'~'.h~ "i0_.._".:;.~ .'~ ~,,'-- ___ \ PROJECT DESCRIPTION: Repair water.damaged insulation and sheetrock ~ elect separate Plan Review Deoartment Application Acceptance Received Due Date Completed Result 05/03/2011 05/03/2011 05/03/2011 Over the Counter Not Required ~ Reviewer Chris Carpenter Chris Carpenter 1 I " ~'} y ..~ t9h,bsc;~re~Qtf . ''f0- . '- ' f".~. >'_ f!, Chris Carpenter 1 .' ~ .'. " , -;';','. ',': .- " -'~' INSPECTIONS REQUIRED ~ Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described her~in, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensur -that all required inspections are requested at the proper time, that each address is readable from the street, that the permi ca~d\s oc t79 at t I~ front of the property, and the approved set of plans will remain (~m the site at all times during const ctlO . .,: j Inspections 1540 Gypsum Board/Lath/Drywall 9002 SUB Insulation Vapor Barrier 1999 Final Building S-~~2D~~ Date Springfield Building Permit 5/3/2011 3:06:40PM Page 3 of 3 Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ..I)EPARTMENT.USE9NL Y Permit no.: ::, l l - '7 L-f D This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of,!ssu suspended for 180 days. ~~,-i:.'<,.':,-::, ~J:; ;::t~~/~9G'A~:.;:9QY~B^NM:~NlE~'~~i.~'_~~,Y~~1;~M~~\~;;r~~1t~~~~ This project has final land-use approval. Signature: This project has DEQ approval. Signature: Zoning approval verified: Dyes D No Property is within flood plain: 0 Yes 0 No ri)i&;jifi{kf~t!i:9'~tEG:(~H~:yif;_Q~E.G,9N,~~iBU~C['i.~~~t:~4~'~jt;~llr<<~~PJ! D Residential I 0 Government d Commercial f4.1~~;{W;$t~t{;~1>'ij:~J~~f~L.,fNJ~ORr;fATrqN,~ANRX4QS:::AI[Q:~~~l~~f~~;~ Job site address: LLnI1 c: Y(2AI'--W,-L,\ (\j &---vl> City: 1::;\)(.-;8 N~ State: DY2--c I: ,\ If 'M. . :"Energy Path: Subdivision: Lot na.I//13 74'-13 tJ /", ~ ~. I VI new t:::J alteration 0 addition Reference: TaxloL " - .. ....,., (b) Foundation-only permit? O"Yes 0 No Name: i8''''''' ~~O~R';: OWIIIE~ : '" Total valuation: $5(07 ') &~~::jti:ti,n~~#g^::.fe~~~-~~~!1'k4~~:;,~'t~j;~~:?~~~.1-i~;~';_i.:'~~11_;_~'1~,_~;~;;"i/;.{~X,:~>:':>~:~,~, $ q") Date: Date: Address: City: Phone5-\\-M"07":, State: I ZIP: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: ,CON:rRAqORJ~ST:AlLATI(>N:"J""" ..; '.' Business name: 1;Lf\DeW\I'.)l>S Ccq.Js T, G>ow L-GC Address: 4'2. S :5 "3~.p L- City: ')o(LIN:Sf-I[;:L-\) State: D(L I ZIP: "171.\70 PhoneSL\\ -SI\) ,-\L,1.\)..- Fax: - - E-mail le.I \ iot"\:SL-\!~:!lai\ COvV\ CCB license no.: \ q ~ l sS' Print name: LAW''1.~ ElA--lO\t Signature ~ I) 1 Plj~~ ~"c:.lDNJ:RACit6R'.IIII~.6.RIv1'Atlc5.~f\\i;'~E;it~~'+~I:iS~h\j Name CCB License Number Phone Number Electrical ...'liZ.M V\?t:n1..\C '34102.1 n I cJ Plumbing Mechanical ~" ,< \. :':~f- ~\!:~:';;('-FEE;SC HEDi]LE1;'^""' >::-;,""" ,. ,: ..' ':~1)~YWtA1!:~ibpti6'f8H~~i~fi~~~~;Y5[~i{~~;~}~';~~:h:1i~;~:~~,:;~~.~~1fii;tf~;I~:~,tA%~?),~;,' (a) Job description: fc'O"l'\. (rL LJ OccupancYI/t 2- Construction type: \J ($ Square feet: Cost per square foot: Other information: b r'<r\, i>l. ~ Type of Heat: (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour)' $ $ (d) Enter 12% surcharge (.]2 x [2a+2b+2c]): $1/ f:!t- (e) Subtotal of fees .bove (2. through 2d): $ ~'3"W:n-"I"'?!i!;;"F';'>b;!"~'!!;-;'''~'~,~~fk'';~[i;~7;E:+1f.4!4n~""~$'~~{:;:~$:~o:;:;\~'t;?;;:;;~'~,h:~;r-i$~'!'i.if~_I<- J;~.'f!', .a_!1fr:~Y~~:W;'!.~~~~~~k:V~X1l1~'~~1it~_~:t>;~~j.~rJf}k~h~~W;~ft-::$'g~~; (a) Plan review (65% x permit fee [2.a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ k~}1:M)-~~~H~~'~1J.~-'~~~}ji~/o:J~~~t*:~~5;i>c,~':i::,~.~;'~~~V;'ft:~":,L ." (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3<+4a): S II:? 'D- .. SPRI~. G._.FIE L~ ~'L_.. . . ~~~ tii . .:::to. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.cj.springfietd.or.us 811-SPR2011-00740 4095 FRANKLIN BLVD pe rmitce nter@cLspringfield.or.us RECEIPT NO: 2011000864 RECORD NO: 811-SPR2011-00740 DATE: 05/03/2011 IOESCRIf1.tfciN'.... . 71~';,::: - ';~'~ c', ','-'~ 'rS~-ctC:;'l:'I~4"._i .~,XC:COUNTJ::0DE;P;" -'-';"-":):~-:"'AMOI1NT;OUE . '. ,: .,' i Building Permit Fee 224-00000-425602 97.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 11.64 Technology fee (5% of permit total) 100-00000-425605 4.85 TOTAL DUE: 113.49 h: PAYiv(I;~I TYJ'Jc:'r';~~,<f~~=,(QJ~~+:CA-S-HIER::CEARP~T'ERJ!,-;,;j :'.0 ;'G'6~ivfENT$~t~;'~~~~,t~~.:.- .--.- ;.i_::;" ~'~t'J\MOUt!T"P~lp w wp ~ 2:) Credit Card TRADEWINDS CONSTRUCTION 113.49 003348 GROUP LLC TOTAL PAID: 113.49